Total hip replacement
Facility: Marion General Hospital
Billing Code: 27130 (CPT)
This hospital's typical commercial price is $13,528 compared to the $6,736 fair price benchmark.
3-Star CMS clinical quality rating paired with 2.01× fair market pricing.
On the higher side — 6 of 8 other IN hospitals charge less.
Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.
Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.
A fair price for a Total hip replacement is about $6,736 (about 0.5× the $13,117 Medicare rate). Marion General Hospital charges insurers about $13,528, or about $86,574 in cash — well above the fair price. Located in Marion, IN.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $6,736. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| Blue Cross Blue Shieldmajor | $13,528 - $30,114 | 103% |
| Aetnamajor | $13,528 | 103% |
| Cignamajor | $13,528 | 103% |
| Humanamajor | $13,528 | 103% |
| CareSource | $20,292 | 155% |
| + 3 smaller / regional plans | $13,528 - $20,292 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Marion General Hospital
Compare: Total hip replacement at other IN hospitals
- Memorial Hospital and Health Care Center · Jasper $2,968
- Pinnacle Hospital · Crown Point $7,516
- Goshen Hospital · Goshen $12,409
- Norton Scott Hospital · Scottsburg $13,253
- Norton-King's Daughters' Health · Madison $13,479
- Columbus Regional Hospital · Columbus $13,479
- Eskenazi Health · Indianapolis $13,583
- Riverview Health · Noblesville $13,583
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Marion General Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $52,377
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $52,377).
Self-Pay Cash Rate ($86,574) Beats Your Bill
Marion General Hospital's published 45 CFR § 180 self-pay cash rate is $86,574 (vs. $13,528 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $6,736 Fair BaseRate ($13,117 Medicare)
Your bill ($144,289) is $137,553 above the denoised Fair BaseRate ($6,736) and 11.0× the $13,117 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.